Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DARYL G CUSTRED, O.D.
ActiveDR. DARYL G CUSTRED, O.D. is a Optometrist healthcare provider located in JASPER, Alabama. NPI 1215047097 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JASPER, AL
Registration Details
- NPI Number
- 1215047097
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.939831450182 yrs)
- Last Updated
- Nov 11, 2010
- License
-
S-505-TA-126 (AL)
Practice Information
- Address
-
1499 N AIRPORT RDJASPER, AL, 355048882Browse AL providers · Browse ZIP 35504
- Phone
- 2052213721
- Fax
- 2052212748
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in JASPER, AL
| Name | Credential | NPI |
|---|---|---|
| GARY E ROQUEMORE | OD | 1013905637 |
| DAVID T WESLEY | O.D. | 1104853944 |
| DR. ANGELA DOWDY PRINCE | OD | 1801908546 |
| MARK C FERRIS | — | 1922102425 |
| DR. TAIBELE KAREN WESLEY | O.D. | 1265538508 |
| DR. ANDREA DEE SIMS | O.D. | 1750447017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.